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Medicine Microsoft Open Source

A Public Funded "Microsoft Shop?" 490

An anonymous reader writes "I work at a public hospital in the computer / technical department and (amongst others) was recently outraged by an email that was sent around our department: '(XXXX) District Health Board — Information Services is strategically a Microsoft shop and when talking to staff / customers we are to support this strategy. I no longer want to see comments promoting other Operating Systems.' We have also been told to remove Firefox found on anyone's computer unless they have specific authorisation from management to have it installed under special circumstances. Now, I could somewhat understand this if I was working in a company that sold and promoted the use of Microsoft software for financial gain, but I work in the publicly / government funded health system. Several of the IT big-wigs at the DHB are seemingly blindly pro-Microsoft and seem all too quick to shrug off other, perhaps more efficient alternatives. As a taxpayer, I want nothing more than to see our health systems improve and run more efficiently. I am not foolish enough to say all our problems would be solved overnight by changing away from Microsoft's infrastructure, but I am convinced that if we took less than half the money we spend on licensing Microsoft's software alone and invested that in training users for an open source system, we would be far better off in the long run. I would very much like to hear Slashdot's ideas / opinions on this 'Strategic Direction' and the silencing of our technical opinions."
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A Public Funded "Microsoft Shop?"

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  • Re:Guess what (Score:4, Informative)

    by ryanov ( 193048 ) on Thursday March 04, 2010 @12:21PM (#31358870)
    The command line is a fine interface, and if you're not a jackass, it's much quicker than hunting through any set of menus.
  • Re:hmm... (Score:5, Informative)

    by MightyMartian ( 840721 ) on Thursday March 04, 2010 @12:48PM (#31359282) Journal

    You can be a Microsoft desktop shop, but have your application and database servers run UNIX or Linux and you probably won't have too many interoperability issues. We're one of the universities that is trying out the Google Apps system for students, faculty, and staff, even though we have a growing population of centralized Exchange users (email, calendaring, IM, VOIP, etc). We're working on interoperability now, but it would likely be easier if we went one way or the other.

    Precisely what I'm moving towards. We'll probably have Exchange for some time to come, and that means Active Directory and DCs, but our file servers are all Samba running as member servers. Maybe someday Samba 4 will allow me to migrate the DCs away from Server 2003, but it will have to be able to prop up an Exchange 2003 server. The point in my shop is not to get rid of Microsoft because I'm an MS hater (though I sure ain't their biggest fan), it's simple economics. Their licenses are too friggin' expensive. I saved the organization several thousand dollars by going to Linux file server.

  • Re:hmm... (Score:2, Informative)

    by mewsenews ( 251487 ) on Thursday March 04, 2010 @01:06PM (#31359582) Homepage

    We're one of the universities that is trying out the Google Apps system for students, faculty, and staff, even though we have a growing population of centralized Exchange users (email, calendaring, IM, VOIP, etc). We're working on interoperability now, but it would likely be easier if we went one way or the other.

    Once your organization gets on the Exchange bandwagon, you are utterly screwed. You will be forced to upgrade every time Microsoft decides they want to print more money. Good luck trying to migrate away.

  • Re:hmm... (Score:2, Informative)

    by BrokenHalo ( 565198 ) on Thursday March 04, 2010 @01:17PM (#31359750)
    Microsoft has indeed done so on many occasions with both State and Federal government ministers here in Australia. Maybe they think Australians are so red around the neck (and I am including representatives of both major parties here) that they couldn't give a fuck about any dodgy deal.

    Well, it looks like they're pretty much right.
  • Re:hmm... (Score:3, Informative)

    by INT_QRK ( 1043164 ) on Thursday March 04, 2010 @01:27PM (#31359896)
    The entire Federal Government of the United States is a publicly funded Microsoft Shop. What's the issue?
  • by Anonymous Coward on Thursday March 04, 2010 @01:31PM (#31359976)

    I work at a public hospital in the computer / technical department and (amongst others) was recently outraged by an email that was sent around our department: '(XXXX) District Health Board — Information Services is strategically a Microsoft shop

    Seriously, the only way anything ever gets done in this world is by naming and shaming:

    Canterbury District Health Board
    Information Services, Level 2, H Block
    The Princess Margaret Hospital
    Cashmere Road, Cashmere
    Christchurch, New Zealand

    Phone: +64 33 640380
    Web: http://www.cdhb.govt.nz/contact.htm

    As well as the Hospital Advisory Committee:
    Web: http://www.cdhb.govt.nz/aboutus/management.htm

    And the douchebag responsible for this mess is:
    Michele Hider: michele.hider@cdhb.govt.nz

  • Re:hmm... (Score:5, Informative)

    by digitalunity ( 19107 ) <digitalunityNO@SPAMyahoo.com> on Thursday March 04, 2010 @01:36PM (#31360032) Homepage

    There's a reason for professional support services in the Linux sector. That can buy you back-porting, bug fixes, a whole host of other services that allow an organization to standardize on a single linux distribution for years. No sane company using Linux to their benefit is using "the flavor of the month". They weigh their needs, their budget, the pros and cons of each distribution that meets their criteria, pick a version and test rigorously. Then you don't fuck with it or upgrade for a few years.

    Linux can only be successful in an organization that is open to change and this is very much culture dependent. Your example of tools that are put together hodge-podge that nobody knows about happens plenty in Windows also. The most egregious example of this is managers who think they can write VB applications in Microsoft Office. They can bastardize code and make something work on their computer, but the code is often so poorly written that it won't work across MS Office versions and crashes on the next upgrade.

    Bad practices aren't limited to any one operating system.

  • by Anonymous Coward on Thursday March 04, 2010 @01:36PM (#31360034)

    New Zealand, which it sounds like the OP might be in, has had a number of controversies with this recently. And the end result has been that basically, if you're employed in the public sector, making a public submission to a select committee (or similar) is likely to cost you your job.

    It's something complicated, like while as a citizen, you're free to engage in politics, but as a public sector employee, you mustn't appear to be in any way partisan, as you're required to implement whatever the decision makers instruct you to, and they must have faith in your ability to do so. Being politicians, the concept of "professionalism" is clearly alien to them.

    It's kind of ridiculous, and hopefully it will change, but we have a fairly large chunk of the population who are effectively barred from engaging in political debate (ironically, the chunk that is often most knowledgeable about that area).

  • Re:hmm... (Score:1, Informative)

    by Anonymous Coward on Thursday March 04, 2010 @01:54PM (#31360256)

    Hold on there. I am one of the hospital IT guys you're talking about. It has less to do with desire, and much more to do with supportability and the lives of the patients we care for.

    There are several best-of-breed products out there for hospitals, such as McKesson Horizon Patient Folders, Horizon Medical Imaging, Horizon Emergency Care, and a few others that DO NOT have support for any other browser than IE. Installing Firefox or other alternative browsers can result in programs that are required for our staff to not work.

    This is a serious risk, not only for our ability as an IT department to support the software, but it can even impact patient care directly! Nobody wants to see a patient suffer because you can't get the order for their pain meds to the pharmacy in a timely manner. Nobody wants to watch their doctor/nurse flail around with the computer they are documenting your care on. No end user wants to have to call IT every time they upgrade a non-standard browser and need to reset the default browser back to IE.

    Locking down systems to a single configuration that simply works with the software they use is not draconian, it literally is a life-saving measure.

    Of course, this applies more to patient care areas, and less to administrative functions - but the principle is applicable to both. IT departments at hospitals, like most other businesses are an expense and often support resources are outsourced, meaning there's nobody there to just "run down" and fix a system that some user installed their preferred browser on when it breaks things like their reporting tools.

    I agree that MS is not really the best for all cases, but you're leaning too hard the other way, given the current state of development in the Healthcare industry.

  • From the IT Guy (Score:1, Informative)

    by Anonymous Coward on Thursday March 04, 2010 @02:06PM (#31360374)

    Hold on there. I am one of the hospital IT guys you're talking about. It has less to do with desire, and much more to do with supportability and the lives of the patients we care for.

    There are several best-of-breed products out there for hospitals, such as McKesson Horizon Patient Folders, Horizon Medical Imaging, Horizon Emergency Care, and a few others that DO NOT have support for any other browser than IE. Installing Firefox or other alternative browsers can result in programs that are required for our staff to not work.

    This is a serious risk, not only for our ability as an IT department to support the software, but it can even impact patient care directly! Nobody wants to see a patient suffer because you can't get the order for their pain meds to the pharmacy in a timely manner. Nobody wants to watch their doctor/nurse flail around with the computer they are documenting your care on. No end user wants to have to call IT every time they upgrade a non-standard browser and need to reset the default browser back to IE.

    Locking down systems to a single configuration that simply works with the software they use is not draconian, it literally is a life-saving measure.

    Of course, this applies more to patient care areas, and less to administrative functions - but the principle is applicable to both. IT departments at hospitals, like most other businesses are an expense and often support resources are outsourced, meaning there's nobody there to just "run down" and fix a system that some user installed their preferred browser on when it breaks things like their reporting tools.

    I agree that MS is not really the best for all cases, but you're leaning too hard the other way, given the current state of development in the Healthcare industry. ...and stop deleting my posts please. Posting anon is because I can't reveal my employer.

  • Re:hmm... (Score:3, Informative)

    by painandgreed ( 692585 ) on Thursday March 04, 2010 @02:08PM (#31360396)
    Certainly and since you work in healthcare IT, you know that it's more complicated than can be spelled out in a few paragraphs. You have clinical apps and devices, administrative apps and devices, vendor apps and devices, the EMR, the RIS, the HIS, all sorts of billing sections, etc. etc. etc. Its needed and probably good to set firm guidelines, but the main point of failure I usually see is those firm guidelines being set without discussing it with the rest of the hospital first. If the IT departments actually communicated with the various departments, then those guidelines could be set up with less arbitrary boundries and could be worked into the RFPs to vendors.
  • Re:hmm... (Score:3, Informative)

    by jpmorgan ( 517966 ) on Thursday March 04, 2010 @02:17PM (#31360502) Homepage

    You do. They're called elections.

  • Re:This web thing. (Score:1, Informative)

    by Anonymous Coward on Thursday March 04, 2010 @02:51PM (#31360936)

    You need browser add-ons to correctly run your "critical" applications?

    I don't use Firefox except in dire emergencies, but I get the impression that you can't restrict the add-ons that your users apply. It's not so much that the add-ons are necessary, but more unavoidable, and then people are calling the help desk and complaining about their crashing browser. Users regularly do not equate a particular action (installing CrashFest2009) with unexpected results.

    Additionally, my opinion of Firefox is that it's basically unusable without a number of extensions (the exact selection depends on the user). Extension-free Firefox is a constant irritation. But how does an IT team deploy and control Firefox with only a few quality extensions and no opportunity to install the crappy ones?

  • Re:This web thing. (Score:3, Informative)

    by Bastardchyld ( 889185 ) on Thursday March 04, 2010 @03:23PM (#31361320) Homepage Journal
    All addons are installed from https://addons.mozilla.org/ [mozilla.org] so block it. This way they only get the addons that you have previously installed. You can also look at Firefox ADM to see what group policy settings you can control. Or you can let the users choose what they want. The fact is that if it works for them why would you want to stand in the way of that. On some of my machines I have vanilla firefox, and on some I have firefox with 15+ addons. I personally have never had an issue with broken addons ending my browsing experience (though I have seen some people have this happen).
  • Comment removed (Score:4, Informative)

    by account_deleted ( 4530225 ) on Thursday March 04, 2010 @03:46PM (#31361616)
    Comment removed based on user account deletion
  • Re:Missed the point (Score:3, Informative)

    by SanityInAnarchy ( 655584 ) <ninja@slaphack.com> on Thursday March 04, 2010 @06:24PM (#31363736) Journal

    The registry, which you shouldn't even have to touch anymore, seems obtuse until you start looking at some of the horrendous conf files scattered across the linux file system.

    Given that each conf file generally comes with comments (more than you can say for the Registry), and is easily and trivially searchable (it's just text, and much quicker to run a fulltext search on than the Registry), I don't see what your problem is.

    I'm not going to say that every conf file is perfect, and it's possible I just don't know, but...

    There's a reason they're plaintext, and there's a reason that's better. I can write a sed script to edit a config file, I can do it quickly, and I can then distribute that to however many Linux machines I have. I can also write a script to generate a conf file, and build that into my deploy script. I can back up any particular config file, or the entire /etc hierarchy, using standard backup tools, because they're just files -- I can even stick them into version control.

    I'm sure Windows can do some of that, but think about it. Does your server configuration fit in version control? Can you check out a copy of your application and, with a single command, bring up and configure a VPS to run it? Can you develop that script in less than a day, let alone the few hours it takes me?

    Windows is probably easier to admin at a small scale, on the order of a fileserver here, a printserver there -- but then, at that scale, you set up Linux once and it pretty much just runs, which is why you can buy NAS devices which do all that for you. At a large scale, certainly once you get to thousands of boxes, I think any Unix has advantages over Windows, and you can see it in real-world TCO studies.

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